Abstract

To the Editor: We read with great interest the letters to the editor in the August 1967 issue of the ANNALS concerning phosphate treatment for hypercalcemia (1, 2). In addition to the comments made by Goldsmith and Ingbar (1) about the safety of phosphate infusion and with which our experience agrees, we would like to raise a few points that were not stressed.

In most cases, hypercalcemia can be controlled by rehydration and calciuria achieved by infusion of an adequate volume of saline. In severe hypercalcemia complicated by oliguric renal failure, however, phosphate is the only agent that will rapidly